Hagop P Ghazarian, DPM
Individual provider Active NPI Podiatrist · Mattawan, MI
NPI 1609820331 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1609820331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 5901001642 (MI)
- Practice address
- 8748 Pine Island CT S
Mattawan, MI 49071-9555 - Phone
- (269) 353-7277
- Fax
- (269) 353-7277
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040217000083 | MI | Practitioner - Podiatry | 0042105348 | Practice locations: Kalamazoo, MI; Leslie, MI; Mattawan, MI; Muskegon, MI; Niles, MI; Paw Paw, MI; Plainwell, MI; Portage, MI… |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901001642 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Living Afc, Inc. | Past | Accepting new patients | |
| Long Acres Afc | Past | Accepting new patients | |
| Hudson Country Manor Inc. | Past |
Accepting new patients | |
| Jenny'S Place | Past | Accepting new patients | |
| Serenity Shore Assisted Living Facility, LLC | Past | Accepting new patients | |
| St. Joseph County Commission on Aging | Past | Accepting new patients | |
| Cretsinger Care Homes, LTD. | Past | Accepting new patients | |
| Crestwood Manor, LLC | Past | Accepting new patients | |
| Old Farm Living Center | Past | Accepting new patients | |
| Cozy Hill a.F.C. L.L.C. | Past | Accepting new patients | |
| Richland Podiatry PC | Podiatrist | Past | Accepting new patients |
| Loving Care Foster Homes | Past | Accepting new patients | |
| TLS Litchfield, LLC | Past | Accepting new patients | |
| Dennis & David Company | Past | Accepting new patients | |
| The Avenue Family Network, Inc. | Past | Accepting new patients | |
| Hudson'S Country Manor, Inc | Past | Accepting new patients | |
| Best Way Providers, Inc. | Past | Accepting new patients | |
| Meadowview Garden Afc | Past | Accepting new patients | |
| Psychiatry Subspecialties Consultants PC | Past | Accepting new patients | |
| Freds Supermarket and Pharmacy of Three Rivers Inc | Past | Accepting new patients | |
| Golden Years Personal Care Home | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901001642 | MI | Yes |
Addresses
Primary practice location
8748 Pine Island CT S
Mattawan, MI 49071-9555
Mailing address
8748 Pine Island CT S
Mattawan, MI 49071-9555
Phone (269) 353-7277
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3526895 | Medicaid | MI | |
| 4858000160 | Other | BCBS |
Other providers in Mattawan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.